A5056473145- Prostate Cancer Diagnosis and Treatment
- Patient-Provider Communication in Healthcare
- COVID-19 epidemiological studies
- COVID-19 and healthcare impacts
- COVID-19 and Mental Health
- Healthcare Policy and Management
- Health Policy Implementation Science
- Telemedicine and Telehealth Implementation
- Geriatric Care and Nursing Homes
- Health Literacy and Information Accessibility
- Global Maternal and Child Health
- Primary Care and Health Outcomes
- Global Cancer Incidence and Screening
- Blood Pressure and Hypertension Studies
- Religion, Spirituality, and Psychology
- Complement system in diseases
- Patient Satisfaction in Healthcare
- Palliative Care and End-of-Life Issues
- Mobile Health and mHealth Applications
- Healthcare Systems and Technology
- Prostate Cancer Treatment and Research
- Emergency and Acute Care Studies
- Chronic Disease Management Strategies
- Breastfeeding Practices and Influences
- Dementia and Cognitive Impairment Research
Wake Forest University
2023-2025
Atrium Medical Cente
2018-2024
University of Oxford
2024
Adelphi Group (United Kingdom)
2023
Ithaca College
2023
Carolinas Medical Center
2016-2021
Center for Outcomes Research and Clinical Epidemiology
2021
Carolinas Healthcare System
2014-2017
Morehead State University
2016
University of North Carolina at Charlotte
2010-2013
Objectives: At least 10.8 million living Americans have been diagnosed with cancer, and about 1.5 new cancer cases are expected to be in 2008. The purpose of this study was examine prayer for health self-reported among a sample men women personal history cancer. Methods: We used data from the 2002 National Health Interview Survey, which collected information on complementary alternative medicine practices. Results: Among 2262 68.5% reported having prayed their own 72% good or better status....
In the outpatient setting, estimates suggest that 30% of antibiotics prescribed are unnecessary. This study explores patient knowledge and awareness appropriate use expectations regarding how used for their treatment in settings. A survey was administered to a convenience sample patients, parents, caregivers (n = 190) at seven primary care clinics two urgent locations. Fisher’s exact tests compared results by characteristics. Although 89% patients correctly believed work well treating...
Asthma is a chronic airway disease that can be difficult to manage, resulting in poor outcomes and high costs. action plans assist patients with self-management, but provider compliance this recommendation limited part because of guideline complexity. This project aimed embed an electronic asthma plan decision support tool (eAAP) into the medical record streamline evidence-based guidelines for providers at point care, create individualized patient handouts, evaluate effects on outcomes.eAAP...
Inappropriate prescribing of antibiotics poses an urgent public health threat. Limited research has examined factors associated with antibiotic practices in outpatient settings. The goals this study were to explore elements influencing provider decisions prescribe antibiotics, identify recommendations for interventions reduce inappropriate use, and inform the clinical management patients environment infections that do not require antibiotics. This was a qualitative using semi-structured...
Background: Lack of quality preventive care has been associated with poorer outcomes for pregnant women low incomes. Health policy changes implemented the Affordable Care Act (ACA) were designed to improve access care. However, insurance coverage remains lower among in Medicaid nonexpansion states. We compared health use and adverse birth by status giving a large system state. Materials Methods: conducted population-based retrospective cohort study using data 9,613 deliveries during...
<sec> <title>BACKGROUND</title> We aimed to design an online resource hub provide information support timely access care and resources improve perinatal health outcomes for Black families in Mecklenburg County, the largest metropolitan area North Carolina. </sec> <title>OBJECTIVE</title> <title>METHODS</title> Methods: used iterative community-informed process, including community member focus groups organizational partner meetings, develop refine layout content of informational website....
<title>Abstract</title> Health systems face the challenge of balancing innovation and safety to responsibly implement artificial intelligence (AI) solutions. The rapid proliferation, growing complexity, ethical considerations, rising demand for these tools require timely efficient processes rigorous evaluation ongoing monitoring. Current AI frameworks often lack practical guidance health address challenges. To fill this gap, we developed a prescriptive governance framework informed by...
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Differences in patients' and providers' perceptions of asthma care can create barriers to successful treatment. The primary goal this qualitative study was further explore patient provider as part a larger Asthma Comparative Effectiveness Study.Focus groups held every 6 months for 3 years were designed have mix both patients providers allowing unique understanding around care.The discussion centered on setting, action plans prevention strategies exacerbations. Three overarching themes, with...
Objective: Few studies have examined the effectiveness of shared decision making (SDM) in clinical practice. This study evaluated impact SDM on quality life and symptom control children with asthma. Methods: We conducted a prospective 3-year six community-based practices serving low-income patient population. Practices received training using an evidence-based toolkit. Patients aged 2–17 diagnosis asthma were identified from scheduling billing data. At approximate 6-month intervals, patients...
Background: Early implementation of programmatic colorectal cancer (CRC) screening for average-risk individuals 50–74 years age in Canada has used fecal occult blood tests [FTS (guaiac or immunochemical)] and colonoscopy follow-up abnormal FTS. This paper presents results an evaluation this CRC screening. Methods: Five Canadian provincial programs provided aggregated data with a first-round FT processed between January 1, 2009, December 31, 2011. Results: The 104,750 people who successfully...
Background: Although national breastfeeding rates have improved across recent decades, women continue to face barriers achieving recommended targets. Returning work presents a unique set of challenges for continuation, even in health care settings tasked with promoting among patients. This study examined the association between key workplace support characteristics, job satisfaction, and outcomes employees. Materials Methods: We used data from cross-sectional survey employees large...
Objective: Patient/provider shared decision making (SDM) improves asthma control in a pragmatic clinical trial setting. This study evaluated the impact of an evidence-based SDM toolkit on outcomes for patients with implemented by providers real world We hypothesized that these would demonstrate improved such as reduced emergency department (ED) visits, hospitalizations, and oral steroid use 12 months following visit compared to those who did not receive intervention. Methods: Patients were...
This study investigates associations between hospital and surgeon volume, racial differences in recurrence after surgery for prostate cancer.Data from the 1991 to 2002 Surveillance, Epidemiology, End-Results-Medicare database were examined 962 black 7387 white men who received cancer within 6 months of diagnosis during 1993-1999. Cox regression models used estimate relationships volume (grouped tertiles), or death, race, controlling age, Gleason grade, comorbidity score.Prostate...
Abstract Objective The study sought to test a patient and family online reporting system for perceived ambulatory visit note inaccuracies. Materials Methods We implemented electronic at 3 U.S. healthcare centers: northeast urban academic adult medical center (AD), pediatric (PED), southeast nonprofit hospital network (NET). Patients families reported potential documentation inaccuracies after reading primary care subspecialty notes. Results were characterized using descriptive statistics...
Background Emergence of the coronavirus disease (COVID-19) caught world off guard and unprepared, initiating a global pandemic. In absence evidence, individual communities had to take timely action reduce rate spread avoid overburdening their health care systems. Although few predictive models have been published guide these decisions, most not taken into account spatial differences included assumptions that do match local realities. Access reliable information is adapted context critical...
Lack of access to high-speed internet may explain disparities in the use technologies that support electronic patient engagement (EPE). This study describes trends how people with and without fixed broadband connectivity urban rural communities used EPE tools interact health care providers between 2014 2018.We linked Federal Communications Commission data Association American Medical Colleges Consumer Survey Health Care Access for years 2014-2018 (n = 23,131). ZIP Codes a 25Mbps download...